JULIE RYDER – Counselor, NPI 1174728141

JULIE RYDER is a healthcare provider. based in Madison, Connecticut. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JULIE RYDER is 1174728141

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JULIE RYDER
NPI
1174728141
Phone
Not provided
Address
29 GULL ROCK RD
Enumeration Date
19 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035033228
Graduation Year
2007 (19 years ago)
PAC ID
2567807977
Group Practice PAC ID
3072418359
Professional Enrollment ID
I20240226000912
Address ID
CT065191233NE428XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

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Provider Addresses for JULIE RYDER

  • 29, Gull Rock Road, Madison, New Haven County, Connecticut, 06443, United States

    MADISON, CT 064433014

    Phone:

    Type: Mailing

  • Dixwell Health Center, 226, Dixwell Avenue, Winchester Repeating Arms Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065113456

    Phone: (203) 503-3470

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240226000912IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06443)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072418359View full group profile
NameSpecialtyState
-CT
U R O L O G YCT
-CT
Clinical Social WorkerCT
-CT
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT
Nurse PractitionerCT
Vascular SurgeryCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Can I use this page to confirm JULIE RYDER's NPI?
Yes. JULIE RYDER is listed with NPI 1174728141 in the public NPI dataset.
Is JULIE RYDER listed as active for patients and plans?
The listing shows JULIE RYDER as active in the NPI system.
What is JULIE RYDER's primary classification?
Counselor is the headline specialty for JULIE RYDER here. Clinical services aligned with this taxonomy classification.
Where is JULIE RYDER based?
JULIE RYDER is tied to Madison, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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